S100可吸收止血绫在老年股骨粗隆间骨折术中应用价值研究  

The application of S100 absorbable stanching satin in treatment of femoral intertrochanteric fracture in the elderly

作　　者：毕大鹏 俞胜宝[1] 黄定安[1] 解冰 刘宝军 田竞 周大鹏 BI Da-peng;YU Sheng-bao;HUANG Ding-an;XIE Bing;LIU Bao-jun;TIAN Jing;ZHOU Da-peng(Department of Orthopedics,Huangshan City Peoples Hospital,Huangshan 245000,China)

机构地区：[1]黄山市人民医院骨科,安徽黄山245000 [2]北部战区总医院骨科,辽宁沈阳110016 [3]北部战区总医院医务部,辽宁沈阳110016

出　　处：《临床军医杂志》2019年第11期1172-1173,1177,共3页Clinical Journal of Medical Officers

基　　金：国家科技重大专项子课题(2016ZX09J16103)

摘　　要：目的探讨S100可吸收止血绫在老年股骨粗隆间骨折术中的临床应用价值。方法选取北部战区总医院自2014年1月至2017年1月收治的150例采用股骨近端防旋髓内钉治疗的老年股骨粗隆间骨折患者为研究对象。将自2014年1月至2015年8月收治的75例术中未使用S100可吸收止血绫的患者纳入A组,将自2015年9月至2017年1月收治的75例术中使用S100可吸收止血绫对股骨髓腔进行止血的患者纳入B组。比较两组患者的术后12 h引流量、术后24 h引流量、总引流量、术前与术后3 d血红蛋白差值及切口内血肿发生率。结果A组患者术后12 h引流量、术后24 h引流量、总引流量、术前与术后3 d血红蛋白差值分别为(52.60±9.56)ml、(69.00±8.93)ml、(81.07±8.55)ml、(9.08±2.68)g/L,B组患者分别为(34.40±8.26)ml、(50.93±9.96)ml,(62.20±12.14)ml、(7.21±3.01)g/L,两组比较,差异均有统计学意义(P<0.05)。A组、B组患者术后切口内血肿发生率分别为12.0%(9/75),2.6%(2/75),差异有统计学意义(P<0.05)。结论在股骨近端防旋髓内钉治疗的老年股骨粗隆间骨折术中使用S100可吸收止血绫有助于减少术后失血量,降低切口内血肿发生率。Objective To evaluate the clinical value of S100 absorbable hemostatic satin in the operation of femoral intertrochanteric fracture in the elderly.Methods A retrospective study was performed on 150 cases of elderly patients with femoral intertrochanteric fracture who were admitted and underwent treatment of proximal femur with antirotation intramedullary nail from January 2014 to January 2017.From January 2014 to August 2015,75 patients who had not been treated with S100 absorbable hemostatic satin intraoperatively were included in Group A,and from September 2015 to January 2017,75 patients who had been treated with S100 absorbable hemostatic satin intraoperatively to stop bleeding in femoral marrow cavity were included in Group B.The drainage volume at 12 hours after surgery,the drainage volume at 24 hous after surgery,the total drainage volume,the difference value between preoperative and postoperative hemoglobin at 3 days,and the incidence of intraoperative hematoma were compared between the two groups.Results The different values of hemoglobin at 12 hours after surgery,24 hours after surgery and the difference value between preoperative and postoperative hemoglobin at 3 days after surgery in Group A were(52.60±9.56)ml,(69.00±8.93)ml,(81.07±8.55)ml and(9.08±2.68)g/L,respectively;in Group B were(34.40±8.26)ml,(50.93±9.96)ml,(62.20±12.14)ml and(7.21±3.01)g/L,respectively.The difference between the two groups was statistically significant(P<0.05).The incidence of intraoperative hematoma of Group A and B was 12.0%(9/75)and 2.6%(2/75),respectively(P<0.05).Conclusion The use of S100 absorbable hemostatic satin in the treatment of femoral intertrochanteric fractures of the elderly with proximal femoral antirotation intramedullary napping can help reduce postoperative blood loss and reduce the incidence of intraoperative hematoma.

关 键 词：S100可吸收止血绫 老年 股骨粗隆间骨折 

分 类 号：R687[医药卫生—骨科学]